Maus-tratos infantis. Revisão da literatura

Terra, Bernardo Barcellos; Figueiredo, Eduardo Antônio de; Terra, Morena Pretti Espindula de Oliveira Lima; Andreoli, Carlos Vicente; Ejnisman, Benno

doi:10.1016/j.rbo.2012.03.003

Cited by 6 publications

(8 citation statements)

References 19 publications

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“…Nonetheless, there is widespread difficulty both in identifying and managing suspected cases. Reasons may be the lack of knowledge about the characteristics of the clinical picture or about the necessary measures, as well as a fear of involvement of professionals in this situation 6, 10…”

Section: Discussionmentioning

confidence: 99%

“…In the literature, the frequency of physical abuse ranges from 20% to 30% 6, 7, 11. The lower rate observed in the present study (16%) can be explained by the fact that this hospital is the reference in the city for cases of sexual abuse, which explains the large number of cases of this type of abuse.…”

Section: Discussionmentioning

confidence: 99%

“…Due to the frequency of physical abuse and fractures, the orthopedist is the professional who first cares for these patients (in 30%–50% of the cases). 6 , 16 Although this implies that orthopedists should be prepared to diagnose and manage these cases, these professionals hardly ever report the cases. One of the aspects that demonstrate this fact is the small number of studies published in Brazilian orthopedic journals.…”

Section: Discussionmentioning

confidence: 99%

“…Because fractures are one of the most common forms of abuse presentation, the orthopedist is often the first physician to evaluate these children. 4 Nevertheless, few studies on these fractures and on the role of the orthopedic surgeon have been published in the national orthopedic literature; they consist of case reports 5 , 6 or trauma series in which suspected cases of AACA were identified. 7 , 8 Only one publication that specifically addressed the occurrence of fractures in patients victims of abuse was retrieved, in a non-indexed journal.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of suspected physical abuse in children: a 500-case study

Picini

Gonçalves

Bringhenti

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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ObjectiveThis study evaluated the epidemiological profile of patients with suspected physical abuse, especially regarding the occurrence of fractures, treated in a referral hospital.MethodsThe authors reviewed all reports of suspected abuse against children and adolescents (AACA) in this hospital from January 2005 to December 2015. They were assessed and separated by month and year. The characteristics of the victims of physical abuse with occurrence of fractures were studied. The features of the fractures were evaluated in those patients with available radiographs.ResultsOf the 3125 notifications, 500 were classified as physical injuries; of these, 63 had fractures. An annual progressive increase in notifications was observed. As for age group, 50 patients (80.6%) were up to three years old and 36 (58%) up to one year. Most were male (60%) and the likely aggressors were mother alone and both parents (27.5% each). In 30 patients with available images, fractures of long bones (femur, tibia, and humerus) predominated (71%), as well as a single fracture line (74%), diaphyseal location (73%), and a transverse line (57%). There were two deaths in fracture cases (3%).ConclusionAll orthopedists should be alert to suspected AACA in children with trauma below the age of three, even without classic signs of abuse.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Evaluation of suspected physical abuse in children: a 500-case study

Picini

Gonçalves

Bringhenti

et al. 2017

Revista Brasileira de Ortopedia (English Edition)

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“…Apesar de o abuso sexual infantil acontecer independentemente da classe sócia, etnia, religião e cultura (Terra et al, 2013), foi problematizado apenas em 1959 na assembléia geral da Organização das Nações Unidas (ONU). Nesta assembléia foram declarados os dez princípios da convenção dos direitos da criança, construídos atendendo-se para a problemática da violência sexual.…”

Section: Sobre O Abuso Sexual Infantilunclassified

A relação entre a experiência de abuso sexual na infância e queixas de dor pélvica crônica e disfunção sexual masculina

Pap¹

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Pap AD. The relationship between childhood sexual abuse experience and complaints of chronic pelvic pain and male's with sexual dysfunction [dissertation]. São Paulo: "Faculdade de Medicina, Universidade de São Paulo"; 2019. INTRODUCTION: Child sexual abuse is a universal phenomenon that affects all ages, social classes and cultures. In Brazil it is the second largest type of violence among children from 0 to 9 years old. Many studies point to the importance of evaluating the ocurrence of child sexual abuse in patients with sexual disfunctions and chronic pelvic pain, since the history of abuse increases the risc of presenting sexual problems in the adult life. Unlinke women, there are few studies that relate the experience of child sexual abuse and the development of utological complaints the affect male sexual function. OBJECTIVE: To evaluate the relationship of sexual abuse experience in childhood and chronic pelvic pain (CPP), erectile dysfunction (ED) and premature ejaculation (PE). METHOD: This is a cross sectional study. The sample consisted of eighty men, between 30 and 59 years old, patients of the Urological Clinic Dividion of the Hospital das Clínicas in São Paulo, Brazil. The patients presented chronic pelvic pain, erectile dysfunction and or premature ejaculation. Data were collected during one year. The history of childhood sexual abuse was assessed using the Childhood Sexual Experience Questionnaire, translated and tested for use in research. The type of abuse, people involved, age of onset and duration of abuse, sexual choice, marital status and risk factors (heart disease, hypertension, diabetes and psychiatric diseases) were also evaluated. Chi Square test was used to evaluate the categorical variables and univariate GLM to evaluate the continuous variables, represented by mean ± standard deviation. The continuous data were represented in absolute frequency and percentage (%). RESULTS: The sample was characterized by predominantly married and heterossexual men wich mean age of 50.2 years. The ED group presented a higher diabetes index compared to the CPP and PE groups. There were no statistical difference between groups in prevalence of abuse. The mean age at onset of abuse was 9.6 years. Most of the abuses lasted more than a year and in all episodes the person involved was known to the child. COCLUSION: The high prevalence of child sexual abuse in the sample reveals a problem in the notification of cases with the male gender. The stigma of child abuse, restricted concept of abuse (focused on serious cases), unprepared health professional in identify the cases. The literature indicates higher rates of abuse with the famale population. Even compared to these data, the prevalence of child sexual violence is higher in this research, reinforcing the hypothesis that the antecedente of sexual violence is a risk fator for the development of health problems which affect male sexuality.

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